IRO/Shift Test Is Comparable to the Jobe Test for Detection of Supraspinatus Lesions

doi:10.3390/jpm12091422

. 2022 Aug 31;12(9):1422.

doi: 10.3390/jpm12091422.

IRO/Shift Test Is Comparable to the Jobe Test for Detection of Supraspinatus Lesions

George Fieseler¹, René Schwesig², Julia Sendler^{1

2}, Jakob Cornelius², Stephan Schulze², Wolfgang Lehmann³, Souhail Hermassi⁴, Karl-Stefan Delank², Kevin Laudner⁵

Affiliations

¹ Clinic for Orthopedic and Trauma Surgery, Sports Medicine, Clinic Hannoversch Münden, 34346 Hannoversch Münden, Germany.
² Department of Orthopedic and Trauma Surgery, Martin-Luther-University Halle-Wittenberg, 06120 Halle, Germany.
³ Clinic for Orthopedic, Trauma and Reconstructive Surgery, Georg August University Göttingen, 37075 Göttingen, Germany.
⁴ Physical Education Department, College of Education, Qatar University, Doha 2713, Qatar.
⁵ Department of Health Sciences, University of Colorado Colorado Springs, Colorado Springs, CO 80918, USA.

PMID: 36143208
PMCID: PMC9506539
DOI: 10.3390/jpm12091422

IRO/Shift Test Is Comparable to the Jobe Test for Detection of Supraspinatus Lesions

George Fieseler et al. J Pers Med. 2022.

. 2022 Aug 31;12(9):1422.

doi: 10.3390/jpm12091422.

Authors

George Fieseler¹, René Schwesig², Julia Sendler^{1

2}, Jakob Cornelius², Stephan Schulze², Wolfgang Lehmann³, Souhail Hermassi⁴, Karl-Stefan Delank², Kevin Laudner⁵

Affiliations

¹ Clinic for Orthopedic and Trauma Surgery, Sports Medicine, Clinic Hannoversch Münden, 34346 Hannoversch Münden, Germany.
² Department of Orthopedic and Trauma Surgery, Martin-Luther-University Halle-Wittenberg, 06120 Halle, Germany.
³ Clinic for Orthopedic, Trauma and Reconstructive Surgery, Georg August University Göttingen, 37075 Göttingen, Germany.
⁴ Physical Education Department, College of Education, Qatar University, Doha 2713, Qatar.
⁵ Department of Health Sciences, University of Colorado Colorado Springs, Colorado Springs, CO 80918, USA.

PMID: 36143208
PMCID: PMC9506539
DOI: 10.3390/jpm12091422

Abstract

To determine how the internal rotation and shift (IRO/shift) test compares to the gold standard of clinical tests (Jobe test) for diagnosing supraspinatus lesions and to confirm these clinical results with surgical findings, 100 symptomatic patients were clinically examined between October 2018 and November 2019. All 100 patients were evaluated using both the IRO/shift test and Jobe test. A total of 48 of these patients received surgical intervention. Based on these data, sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy for both the IRO/shift test and Jobe test were calculated. The IRO/shift test had a sensitivity of 96% (95% CI: 82-100%), specificity of 50% (95% CI: 27-73%), PPV of 73% (95% CI: 56-86%), NPV of 91% (95% CI: 59-100%), and an accuracy of 77% (95% CI: 63-88%). The Jobe test had a sensitivity of 89% (95% CI: 72-98%), specificity of 60% (95% CI: 36-81%), PPV of 76% (95% CI: 58-89%), NPV of 80% (95% CI: 52-96%), and an accuracy of 77% (95% CI: 54-81%). These results suggest that the IRO/shift test is comparable to the Jobe test, which is often viewed as the gold standard clinical examination for assessing supraspinatus lesions. This study was approved by the Ethics Commission of the Martin Luther University Halle-Wittenberg (reference number: 2018-05).

Keywords: clinical; examination; rotator cuff; sensitivity; special test; specificity.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

**Figure 1**
Passively applying elevation overpressure (shoulder adduction and internal rotation) to the patient’s end range of motion.

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References

1. Abdelwahab A., Ahuja N., Iyengar K.P., Jain V.K., Bakti N., Singh B. Traumatic rotator cuff tears—Current concepts in diagnosis and management. J. Clin. Orthop. Trauma. 2021;18:51–55. doi: 10.1016/j.jcot.2021.04.013. - DOI - PMC - PubMed
1. Zaid M.B., Young N.M., Pedoia V., Feeley B.T., Ma C.B., Lansdown D.A. Anatomic shoulder parameters and their relationship to the presence of degenerative rotator cuff tears and glenohumeral osteoarthritis: A systematic review and meta-analysis. J. Shoulder Elb. Surg. 2019;28:2457–2466. doi: 10.1016/j.jse.2019.05.008. - DOI - PubMed
1. Minagawa H., Yamamoto N., Abe H., Fukuda M., Seki N., Kikuchi K., Kijima H., Itoi E. Prevalence of symptomatic and asymptomatic rotator cuff tears in the general population: From mass-screening in one village. J. Orthop. 2013;10:8–12. doi: 10.1016/j.jor.2013.01.008. - DOI - PMC - PubMed
1. van der Windt D.A., Koes B.W., Boeke A.J., Devillé W., De Jong B.A., Bouter L.M. Shoulder disorders in general practice: Prognostic indicators of outcome. Br. J. Gen. Pract. 1996;46:519–523. - PMC - PubMed
1. Minns Lowe C.J., Moser J., Barker K. Living with a symptomatic rotator cuff tear ’bad days, bad nights’: A qualitative study. BMC Musculoskelet. Disord. 2014;15:228. doi: 10.1186/1471-2474-15-228. - DOI - PMC - PubMed

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[1] Abdelwahab A., Ahuja N., Iyengar K.P., Jain V.K., Bakti N., Singh B. Traumatic rotator cuff tears—Current concepts in diagnosis and management. J. Clin. Orthop. Trauma. 2021;18:51–55. doi: 10.1016/j.jcot.2021.04.013. - DOI - PMC - PubMed

[2] Abdelwahab A., Ahuja N., Iyengar K.P., Jain V.K., Bakti N., Singh B. Traumatic rotator cuff tears—Current concepts in diagnosis and management. J. Clin. Orthop. Trauma. 2021;18:51–55. doi: 10.1016/j.jcot.2021.04.013. - DOI - PMC - PubMed

[3] Zaid M.B., Young N.M., Pedoia V., Feeley B.T., Ma C.B., Lansdown D.A. Anatomic shoulder parameters and their relationship to the presence of degenerative rotator cuff tears and glenohumeral osteoarthritis: A systematic review and meta-analysis. J. Shoulder Elb. Surg. 2019;28:2457–2466. doi: 10.1016/j.jse.2019.05.008. - DOI - PubMed

[4] Zaid M.B., Young N.M., Pedoia V., Feeley B.T., Ma C.B., Lansdown D.A. Anatomic shoulder parameters and their relationship to the presence of degenerative rotator cuff tears and glenohumeral osteoarthritis: A systematic review and meta-analysis. J. Shoulder Elb. Surg. 2019;28:2457–2466. doi: 10.1016/j.jse.2019.05.008. - DOI - PubMed

[5] Minagawa H., Yamamoto N., Abe H., Fukuda M., Seki N., Kikuchi K., Kijima H., Itoi E. Prevalence of symptomatic and asymptomatic rotator cuff tears in the general population: From mass-screening in one village. J. Orthop. 2013;10:8–12. doi: 10.1016/j.jor.2013.01.008. - DOI - PMC - PubMed

[6] Minagawa H., Yamamoto N., Abe H., Fukuda M., Seki N., Kikuchi K., Kijima H., Itoi E. Prevalence of symptomatic and asymptomatic rotator cuff tears in the general population: From mass-screening in one village. J. Orthop. 2013;10:8–12. doi: 10.1016/j.jor.2013.01.008. - DOI - PMC - PubMed

[7] van der Windt D.A., Koes B.W., Boeke A.J., Devillé W., De Jong B.A., Bouter L.M. Shoulder disorders in general practice: Prognostic indicators of outcome. Br. J. Gen. Pract. 1996;46:519–523. - PMC - PubMed

[8] van der Windt D.A., Koes B.W., Boeke A.J., Devillé W., De Jong B.A., Bouter L.M. Shoulder disorders in general practice: Prognostic indicators of outcome. Br. J. Gen. Pract. 1996;46:519–523. - PMC - PubMed

[9] Minns Lowe C.J., Moser J., Barker K. Living with a symptomatic rotator cuff tear ’bad days, bad nights’: A qualitative study. BMC Musculoskelet. Disord. 2014;15:228. doi: 10.1186/1471-2474-15-228. - DOI - PMC - PubMed

[10] Minns Lowe C.J., Moser J., Barker K. Living with a symptomatic rotator cuff tear ’bad days, bad nights’: A qualitative study. BMC Musculoskelet. Disord. 2014;15:228. doi: 10.1186/1471-2474-15-228. - DOI - PMC - PubMed

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IRO/Shift Test Is Comparable to the Jobe Test for Detection of Supraspinatus Lesions

Affiliations

IRO/Shift Test Is Comparable to the Jobe Test for Detection of Supraspinatus Lesions

Authors

Affiliations

Abstract

Conflict of interest statement

Figures

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References

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